Anthony, Susan B
Anthony, Susan B is an individual health care provider with primary practice located at 8800 Walther Blvd , Baltimore MD 21234-9001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Anthony, Susan B can be contacted via phone (410) 882-3240.Contact Information
Primary practice address
8800 Walther Blvd
Baltimore MD 21234-9001
Phone: (410) 882-3240
Fax: (410) 661-5093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | R079544 | Maryland |
Profile Details
| NPI number | 1346271657 |
|---|---|
| LBN Legal business name | Anthony, Susan B |
| Credentials | CRNP, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Dec 9th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346271657 | NPPES |
| Maryland | Other | S1380122 | CAREFIRST REGIONAL GBMC |
| Maryland | Other | KJ15/60656602 | CAREFIRST REGIONAL GBMC |
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